IJNS 2016; 05(02): 120-123
DOI: 10.1055/s-0036-1581980
Short Illustrative Review
Thieme Medical and Scientific Publishers Private Ltd.

Cystoscopic Removal of Migrated Ventriculoperitoneal Shunt Tube: A Case Report with Short Review

T. P. Jeyaselvasenthilkumar
1  Department of Neurosurgery, SRM Medical College and Research Centre, Kattankulathur, Chennai, Tamil Nadu, India
,
Mohan Sampathkumar
1  Department of Neurosurgery, SRM Medical College and Research Centre, Kattankulathur, Chennai, Tamil Nadu, India
,
C. Sekar
1  Department of Neurosurgery, SRM Medical College and Research Centre, Kattankulathur, Chennai, Tamil Nadu, India
,
Mohammad Abith Ali
1  Department of Neurosurgery, SRM Medical College and Research Centre, Kattankulathur, Chennai, Tamil Nadu, India
,
Y. Premchand
1  Department of Neurosurgery, SRM Medical College and Research Centre, Kattankulathur, Chennai, Tamil Nadu, India
› Author Affiliations
Further Information

Publication History

22 September 2015

18 December 2015

Publication Date:
08 June 2016 (eFirst)

  

Abstract

Hydrocephalus is most commonly treated by ventriculoperitoneal (VP) shunt surgery. The distal end of the VP shunt is commonly placed in the peritoneal cavity. Various complications of the distal end of the shunt have been described in the literature. Migration of the distal end of the shunt tube into the bladder is an extremely rare complication of VP shunt surgery. Only three cases of erosive bladder perforation by a peritoneal catheter have been documented so far in the literature. We report an unusual case of perforation of the distal end of the VP shunt into the bladder with encrustation at the tip. Cystoscopic removal of the migrated distal end of the shunt tube is performed. Cystoscopic removal is simple and avoids the complications of cystostomy. The various other complications are shortly reviewed.